@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(3):153-160
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(3):153-160
Effect of Educational Intervention Based on Social Support Received by the Spouse on Promoting Adherence to Treatment Regimen in Hypertensive Patients
ARTICLE INFO
Article Type
Original ResearchAuthors
Arabshahi A. (1)Gharlipour Z. (2)
Mohammadbeigi A. (3)
Mohebi S. (*4)
(*4) Department of Health Education & Health Promotion, Health Faculty, Qom University of Medical Sciences, Qom, Iran
(1) “Student Research Committee” and “Department of Health Education & Health Promotion, , Health Faculty”, Qom University of Medical Sciences, Qom, Iran
(2) Public Health Department, Health Faculty, Qom University of Medical Sciences, Qom, Iran
(3) “Neuroscience Research Center” and “Department of Epidemiology & Biostatistics,, Health Faculty”, Qom University of Medical Sciences, Qom, Iran
Correspondence
Article History
Received: March 10, 2020Accepted: April 21, 2020
ePublished: September 20, 2020
ABSTRACT
Aims
High blood pressure is one of the most important risk factors for cardiovascular disease. Social support and adherence to treatment regimen are effective factors in controlling and preventing high blood pressure complications. Therefore, the aim of this study was to determine the effect of educational intervention based on social support received by the spouse on promoting adherence to treatment regimen in hypertensive patients.
Materials & Methods The present experimental study was performed on 120 male patients with primary hypertension with their spouses who referred to the Qom city community health service centers in 2019. The eligible individuals were selected by convenience sampling method and randomly divided into two groups of test and control (60 people in each group). The data collection tools included a questionnaire of self-care behaviors, social support, a blood pressure checklist, and a hand pressure gauge. Data were analyzed by SPSS 20 software using statistical tests.
Findings The mean score of adherence to the treatment regimen and social support received by the spouse of subjects increased significantly after the educational intervention in the test group (p<0.001). Also, the mean score of systolic (p=0.007) and diastolic (p<0.001) blood pressure of patients after educational intervention in the two groups of test and control was significantly different.
Conclusion Education based on spouse's social support improves adherence to the treatment regimen and reduces systolic and diastolic blood pressure in patients with hypertension.
Materials & Methods The present experimental study was performed on 120 male patients with primary hypertension with their spouses who referred to the Qom city community health service centers in 2019. The eligible individuals were selected by convenience sampling method and randomly divided into two groups of test and control (60 people in each group). The data collection tools included a questionnaire of self-care behaviors, social support, a blood pressure checklist, and a hand pressure gauge. Data were analyzed by SPSS 20 software using statistical tests.
Findings The mean score of adherence to the treatment regimen and social support received by the spouse of subjects increased significantly after the educational intervention in the test group (p<0.001). Also, the mean score of systolic (p=0.007) and diastolic (p<0.001) blood pressure of patients after educational intervention in the two groups of test and control was significantly different.
Conclusion Education based on spouse's social support improves adherence to the treatment regimen and reduces systolic and diastolic blood pressure in patients with hypertension.
CITATION LINKS
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[4]Perez V, Chang ET. Sodium-to-potassium ratio and blood pressure, hypertension, and related factors. Adv Nutr. 2014;5(6):712-41.
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[8]Karimi M, Clark AM. How do patients’ values influence heart failure self-care decision-making? a mixed-methods systematic review. Int J Nurs Stud. 2016;59:89-104.
[9]Safaei Sarnaghi M, Hemmati Maslak Pak M, Khademvatan K, Alinejhad V. The effect of short message service on adherence to treatment advice in the patients with hypertension. Nurs Midwifery J. 2016;14(3):224-32. [Persian]
[10]Arbab Shastan ME. To assess relationship between medication adherence & belief about medication in hypertensive patients referred to the health resource centers in Zahedan 2015 [Dissertation]. Kerman: Kerman University of Medical Sciences; 2015. [Persian]
[11]Gangi S, Peyman N, Meysami BONAB S, Esmaeili H. Effect of self-care training program on quality of life and health literacy in the patients with essential hypertension. Med J Mashad Univ Med Sci. 2018;60(6):792-803. [Persian]
[12]Bazazian S. Self-efficacy, social support, and self care behaviors of patients with type II diabetes. J Appl Psycol Res. 2013;3(4):33-44. [Persian]
[13]Heidarzadeh M, Ghahramanian A, Haghighat A, Yoosefi E. Relationship between quality of life and social support in stroke patients. Iran J Nurs. 2009;22(59):23-32. [Persian]
[14]Cheraghi MA, Davari Dolatabadi E, Salavati M, Moghimbeigi A. Association between perceived social support and quality of life in patients with heart failure. Iran J Nurs. 2012;25(75):21-31. [Persian]
[15]Tol A, Baghbanian A, Rahimi A, Shojaeizadeh D, Mohebbi B, Majlessi F. The relationship between perceived social support from family and diabetes control among patients with diabetes type 1 and type 2. J Diabetes Metab Disord. 2011;10:1-8.
[16]Teimoori F, Alhani F, Kazemnezhad A. The effect of family-centered empowerment model on the quality of life of school-age asthma children. Iran J Nurs Res. 2011;6(20):52-63. [Persian]
[17]Sadeghi M, Pedram Razi S, Nikbakht Nasrabadi A, Ebrahimi H, Kazemnejad A. Comparison of the impact of education based on the empowerment model and family-center empowerment model on knowledge and metabolic control of patients with type 2 diabetes mellitus. J Nurs Educ. 2013;2(3):18-27. [Persian]
[18]Taher M, Abredari H, Karimi M, Abedi A, Shamsizadeh M. The relation between social support and adherence to the treatment of hypertension. J Educ Community Health. 2014;1(3):63-9. [Persian]
[19]Kim MT, Hill MN, Bone LR, Levine DM. Development and testing of the hill‐bone compliance to high blood pressure therapy scale. Prog Cardiovasc Nurs. 2000;15(3):90-6.
[20]Ashktorab T, Esmaeili Zabihi R, Banaderakhshan H, Zayeri F, Zohari Anboohi S. Correlation between self-concept according to roy adaptation model with adherence to therapeutic regimen in hypertensive outpatients who attended in one of hospitals affiliated to Urmia university of medical sciences and health services. Adv Nurs Midwifery. 2011;20(73):7-11. [Persian]
[21]Sherbourne CD, Stewart AL. The MOS social support survey. Soc Sci Med. 1991;32(6):705-14.
[22]Tamanaeifar MR, Mansoori Nik A. The relationship between personality characteristics, social support and life satisfaction with university students’ academic performance. Q J Res Plann Higher Educ. 2014;20 (1):149-66. [Persian]
[23]Mohebi S, Azadbakhat L, Feyzi A, Hozoori M, Sharifirad G. Effectof social support from husband on the control of risk factors for metabolic syndrome. Iran J Endocrinol Metab. 2014;16(1):11-9. [Persian]
[24]Baghaei R, Khaledian N, Didarloo A, Alinejad V. The effect of an educational intervention on the medication adherence in patients with hypertension: based on BASNEF model. Nurs Midwifery J. 2016;14(9):811-21. [Persian]
[25]Beune E, Moll van Charante E, Beem L, Mohrs J, Charles A, Ogedegbe G, et al. Culturally adapted hypertension education (CAHE) to improve blood pressure control and treatment adherence in patients of African origin with uncontrolled hypertension: cluster-randomized trial. PloS One. 2014;9(3):e90103.
[26]Taddeo D, Egedy M, Frappier J-Y. Adherence to treatment in adolescents. Paediatr Child Health. 2008;13(1):19-24.
[27]Sanaei N, Bahramnezhad F, Zolfaghari M, Alhani F. The effect of family-centered empowerment model on treatment plans adherence of patients undergoing coronary artery bypass graft. Crit Care Nurs. 2016;9(3):e6494.
[28]Barati M, Darabi D, Moghimbeigi A, Afsar A. Self-regulation behaviors of hypertension and related factors among hypertensive patients. J Fasa Univ Med Sci. 2011;1(3):116-22. [Persian]
[29]Izadirad H, Masoudi GR, Zareban I, Shahrakipoor M, Jadgal K. The effect of educational program based on BASNEF model on women’s blood pressure with hypertension. J Torbat Heydariyeh Univ Med Sci. 2013;1(2):22-31. [Persian]
[30]Baghiani Moghadam MH, Rahaei Z, Morowati Sharifabad MA, Sharifirad G, Azadbakht L. Effects of education on self-monitoring of blood pressure based on BASNEF model in hypertensive patients. J Res Med Sci. 2010;15(2):70-7.
[31]Maglione JL, Hayman LL. Correlates of physical activity in low income college students. Res Nurs Health. 2009;32(6):634-46.
[32]Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2224-60.
[33]Meinema JG, van Dijk N, Beune EJ, Jaarsma DA, van Weert HC, Haafkens JA. Determinants of adherence to treatment in hypertensive patients of African descent and the role of culturally appropriate education. PLoS One. 2015;10(8):e0133560.
[34]Ojo OS, Malomo SO, Sogunle PT. Blood pressure (BP) control and perceived family support in patients with essential hypertension seen at a primary care clinic in Western Nigeria. J Family Med Prim Care. 2016;5(3):569-75.
[35]Hu HH, Li G, Arao T. The association of family social support, depression, anxiety and self-efficacy with specific hypertension self-care behaviors in Chinese local community. J Hum Hypertens. 2015;29(3):198-203.
[36]Garcia-Peña C, Thorogood M, Armstrong B, Reyes-Frausto S, Muñoz O. Pragmatic randomized trial of home visits by a nurse to elderly people with hypertension in Mexico. Int J Epidemiol. 2001;30(6):1485-91.
[37]Omidi A, Mirzaei Z, Khodaveisi M, Moghimbeigi A, Arabi A. The correlation between social support and management of hypertension in menopausal females at the Farshchian Hospital, Hamadan. Avicenna J Nurs Midwifery Care. 2017;25(2):75-83. [Persian]
[38]Osamor PE, Owumi BE. Factors associated with treatment compliance in hypertension in southwest Nigeria. J Health Popul Nutr. 2011;29(6):619-28.
[39]Costa RDS, Nogueira LT. Family support in the control of hypertension. Rev Lat Am Enfermagem. 2008;16(5):871-6.
[40]Torres AM, Piña JA. Association between psychological and social variables with adhesion in persons with type 2 diabetes. Terap Psicol. 2010;28(1):45-53. [Spanish]
[41]Gomes-Villas Boas LC, Foss MC, Freitas MCFd, Pace AE. Relationship between social support, treatment adherence and metabolic control of people with diabetes mellitus. Rev Lat Am Enfermagem. 2012;20(1):52-8.
[42]Yang YC, Boen C, Mullan Harris K. Social relationships and hypertension in late life: evidence from a nationally representative longitudinal study of older adults. J Aging Health. 2015;27(3):403-31.
[43]Coulon SM, Wilson DK. Social support buffering of the relation between low income and elevated blood pressure in at-risk African-American adults. J Behav Med. 2015;38(5):830-4.
[44]Aragão EIS, Portugal FB, Campos MR, Lopes CDS, Fortes SLCL. Different patterns of social support perceived and their association with physical (hypertension, diabetes) or mental diseases in the context of primary health care. Cien Saude Colet. 2017;22(7):2367-74.
[2]Akhter N. Self-management among patient with hypertension in Bangladesh [Dissertation]. Hat Yai, Thailand: Prince of Songkla University; 2010.
[3]Park JB, Kario K, Wang JG. Systolic hypertension: an increasing clinical challenge in Asia. Hypertens Res. 2015;38(4):227-36.
[4]Perez V, Chang ET. Sodium-to-potassium ratio and blood pressure, hypertension, and related factors. Adv Nutr. 2014;5(6):712-41.
[5]Mehrabian F, Farmanbar R, Mahdavi Roshan M, Omidi S, Aghebati R. Investigating the status of blood pressure and its related factors in individuals with hypertension visiting urban and rural health centers in Rasht city during 2014. J Health. 2017;8(3):328-35. [Persian]
[6]Nasirian M, Roozbahani N, Jamshidi AR. The effect of group discussion on self-care behaviors among hypertensive patients referring to health care centers in Arak City. Sci J Kurdistan Univ Med Sci. 2019;24(5):56-68. [Persian]
[7]Vervloet M, Linn AJ, van Weert JC, De Bakker DH, Bouvy ML, Van Dijk L. The effectiveness of interventions using electronic reminders to improve adherence to chronic medication: a systematic review of the literature. J Am Med Inform Assoc. 2012;19(5):696-704.
[8]Karimi M, Clark AM. How do patients’ values influence heart failure self-care decision-making? a mixed-methods systematic review. Int J Nurs Stud. 2016;59:89-104.
[9]Safaei Sarnaghi M, Hemmati Maslak Pak M, Khademvatan K, Alinejhad V. The effect of short message service on adherence to treatment advice in the patients with hypertension. Nurs Midwifery J. 2016;14(3):224-32. [Persian]
[10]Arbab Shastan ME. To assess relationship between medication adherence & belief about medication in hypertensive patients referred to the health resource centers in Zahedan 2015 [Dissertation]. Kerman: Kerman University of Medical Sciences; 2015. [Persian]
[11]Gangi S, Peyman N, Meysami BONAB S, Esmaeili H. Effect of self-care training program on quality of life and health literacy in the patients with essential hypertension. Med J Mashad Univ Med Sci. 2018;60(6):792-803. [Persian]
[12]Bazazian S. Self-efficacy, social support, and self care behaviors of patients with type II diabetes. J Appl Psycol Res. 2013;3(4):33-44. [Persian]
[13]Heidarzadeh M, Ghahramanian A, Haghighat A, Yoosefi E. Relationship between quality of life and social support in stroke patients. Iran J Nurs. 2009;22(59):23-32. [Persian]
[14]Cheraghi MA, Davari Dolatabadi E, Salavati M, Moghimbeigi A. Association between perceived social support and quality of life in patients with heart failure. Iran J Nurs. 2012;25(75):21-31. [Persian]
[15]Tol A, Baghbanian A, Rahimi A, Shojaeizadeh D, Mohebbi B, Majlessi F. The relationship between perceived social support from family and diabetes control among patients with diabetes type 1 and type 2. J Diabetes Metab Disord. 2011;10:1-8.
[16]Teimoori F, Alhani F, Kazemnezhad A. The effect of family-centered empowerment model on the quality of life of school-age asthma children. Iran J Nurs Res. 2011;6(20):52-63. [Persian]
[17]Sadeghi M, Pedram Razi S, Nikbakht Nasrabadi A, Ebrahimi H, Kazemnejad A. Comparison of the impact of education based on the empowerment model and family-center empowerment model on knowledge and metabolic control of patients with type 2 diabetes mellitus. J Nurs Educ. 2013;2(3):18-27. [Persian]
[18]Taher M, Abredari H, Karimi M, Abedi A, Shamsizadeh M. The relation between social support and adherence to the treatment of hypertension. J Educ Community Health. 2014;1(3):63-9. [Persian]
[19]Kim MT, Hill MN, Bone LR, Levine DM. Development and testing of the hill‐bone compliance to high blood pressure therapy scale. Prog Cardiovasc Nurs. 2000;15(3):90-6.
[20]Ashktorab T, Esmaeili Zabihi R, Banaderakhshan H, Zayeri F, Zohari Anboohi S. Correlation between self-concept according to roy adaptation model with adherence to therapeutic regimen in hypertensive outpatients who attended in one of hospitals affiliated to Urmia university of medical sciences and health services. Adv Nurs Midwifery. 2011;20(73):7-11. [Persian]
[21]Sherbourne CD, Stewart AL. The MOS social support survey. Soc Sci Med. 1991;32(6):705-14.
[22]Tamanaeifar MR, Mansoori Nik A. The relationship between personality characteristics, social support and life satisfaction with university students’ academic performance. Q J Res Plann Higher Educ. 2014;20 (1):149-66. [Persian]
[23]Mohebi S, Azadbakhat L, Feyzi A, Hozoori M, Sharifirad G. Effectof social support from husband on the control of risk factors for metabolic syndrome. Iran J Endocrinol Metab. 2014;16(1):11-9. [Persian]
[24]Baghaei R, Khaledian N, Didarloo A, Alinejad V. The effect of an educational intervention on the medication adherence in patients with hypertension: based on BASNEF model. Nurs Midwifery J. 2016;14(9):811-21. [Persian]
[25]Beune E, Moll van Charante E, Beem L, Mohrs J, Charles A, Ogedegbe G, et al. Culturally adapted hypertension education (CAHE) to improve blood pressure control and treatment adherence in patients of African origin with uncontrolled hypertension: cluster-randomized trial. PloS One. 2014;9(3):e90103.
[26]Taddeo D, Egedy M, Frappier J-Y. Adherence to treatment in adolescents. Paediatr Child Health. 2008;13(1):19-24.
[27]Sanaei N, Bahramnezhad F, Zolfaghari M, Alhani F. The effect of family-centered empowerment model on treatment plans adherence of patients undergoing coronary artery bypass graft. Crit Care Nurs. 2016;9(3):e6494.
[28]Barati M, Darabi D, Moghimbeigi A, Afsar A. Self-regulation behaviors of hypertension and related factors among hypertensive patients. J Fasa Univ Med Sci. 2011;1(3):116-22. [Persian]
[29]Izadirad H, Masoudi GR, Zareban I, Shahrakipoor M, Jadgal K. The effect of educational program based on BASNEF model on women’s blood pressure with hypertension. J Torbat Heydariyeh Univ Med Sci. 2013;1(2):22-31. [Persian]
[30]Baghiani Moghadam MH, Rahaei Z, Morowati Sharifabad MA, Sharifirad G, Azadbakht L. Effects of education on self-monitoring of blood pressure based on BASNEF model in hypertensive patients. J Res Med Sci. 2010;15(2):70-7.
[31]Maglione JL, Hayman LL. Correlates of physical activity in low income college students. Res Nurs Health. 2009;32(6):634-46.
[32]Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2224-60.
[33]Meinema JG, van Dijk N, Beune EJ, Jaarsma DA, van Weert HC, Haafkens JA. Determinants of adherence to treatment in hypertensive patients of African descent and the role of culturally appropriate education. PLoS One. 2015;10(8):e0133560.
[34]Ojo OS, Malomo SO, Sogunle PT. Blood pressure (BP) control and perceived family support in patients with essential hypertension seen at a primary care clinic in Western Nigeria. J Family Med Prim Care. 2016;5(3):569-75.
[35]Hu HH, Li G, Arao T. The association of family social support, depression, anxiety and self-efficacy with specific hypertension self-care behaviors in Chinese local community. J Hum Hypertens. 2015;29(3):198-203.
[36]Garcia-Peña C, Thorogood M, Armstrong B, Reyes-Frausto S, Muñoz O. Pragmatic randomized trial of home visits by a nurse to elderly people with hypertension in Mexico. Int J Epidemiol. 2001;30(6):1485-91.
[37]Omidi A, Mirzaei Z, Khodaveisi M, Moghimbeigi A, Arabi A. The correlation between social support and management of hypertension in menopausal females at the Farshchian Hospital, Hamadan. Avicenna J Nurs Midwifery Care. 2017;25(2):75-83. [Persian]
[38]Osamor PE, Owumi BE. Factors associated with treatment compliance in hypertension in southwest Nigeria. J Health Popul Nutr. 2011;29(6):619-28.
[39]Costa RDS, Nogueira LT. Family support in the control of hypertension. Rev Lat Am Enfermagem. 2008;16(5):871-6.
[40]Torres AM, Piña JA. Association between psychological and social variables with adhesion in persons with type 2 diabetes. Terap Psicol. 2010;28(1):45-53. [Spanish]
[41]Gomes-Villas Boas LC, Foss MC, Freitas MCFd, Pace AE. Relationship between social support, treatment adherence and metabolic control of people with diabetes mellitus. Rev Lat Am Enfermagem. 2012;20(1):52-8.
[42]Yang YC, Boen C, Mullan Harris K. Social relationships and hypertension in late life: evidence from a nationally representative longitudinal study of older adults. J Aging Health. 2015;27(3):403-31.
[43]Coulon SM, Wilson DK. Social support buffering of the relation between low income and elevated blood pressure in at-risk African-American adults. J Behav Med. 2015;38(5):830-4.
[44]Aragão EIS, Portugal FB, Campos MR, Lopes CDS, Fortes SLCL. Different patterns of social support perceived and their association with physical (hypertension, diabetes) or mental diseases in the context of primary health care. Cien Saude Colet. 2017;22(7):2367-74.